Provider Demographics
NPI:1871044206
Name:BARABASH, OLENA (NP-C)
Entity Type:Individual
Prefix:
First Name:OLENA
Middle Name:
Last Name:BARABASH
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:OLENA
Other - Middle Name:
Other - Last Name:BARABASH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NP- C
Mailing Address - Street 1:300 CANAL STREET
Mailing Address - Street 2:SALEM, MA
Mailing Address - City:SALEM
Mailing Address - State:MA
Mailing Address - Zip Code:01970-6815
Mailing Address - Country:US
Mailing Address - Phone:978-594-8980
Mailing Address - Fax:
Practice Address - Street 1:300 CANAL ST
Practice Address - Street 2:SALEM, MA
Practice Address - City:SALEM
Practice Address - State:MA
Practice Address - Zip Code:01970-4558
Practice Address - Country:US
Practice Address - Phone:978-594-8980
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-20
Last Update Date:2022-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2271849363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily